Osteoporosis in chronically ill children.

  title={Osteoporosis in chronically ill children.},
  author={Etienne B. Sochett and Outi M{\"a}kitie},
  journal={Annals of medicine},
  volume={37 4},
Gains in bone mass are very rapid during adolescence and peak bone mass, the most important determinant of osteoporosis, is attained by early adulthood. Glucocorticoids, widely used in children with chronic illness, are known to impact bone mass and quality. In addition, disease and treatment-related factors, nutrient and hormone deficiencies and decreased physical activity may all negatively affect bone mass accrual. Although decreased bone density is increasingly recognized in chronically ill… CONTINUE READING

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